title: Mediastinal infectious complication after endobronchial ultrasound-guided transbronchial needle aspiration.
abstract: We report here a mediastinal infectious complication after endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) that was successfully treated using intravenous antibiotic therapy. EBUS-TBNA was performed for a 59-year old man with mediastinal adenopathy 8 years after left pneumonectomy for squamous cell carcinoma of the lung. A single-needle pass produced an adequate cytology and histology sample, and the lesion was diagnosed as small-cell lung cancer. The procedure itself was uneventful, but the patient developed a nightly fever after the biopsy. Finally, he was readmitted, and intravenous antibiotic therapy was required for 4 weeks to treat a mediastinal infection after EBUS-TBNA before chemotherapy for small-cell lung cancer.
authors.affiliation: Department of Thoracic Surgery, Kyoto University, Kyoto, Japan.
authors.forename: Fumiaki
authors.initials: F
authors.lastname: Gochi
authors.forename: Fengshi
authors.initials: F
authors.lastname: Chen
authors.forename: Akihiro
authors.initials: A
authors.lastname: Aoyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Date
mesh_terms: D061605:Administration, Intravenous; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001424:Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000009:adverse effects*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology*; D008297:Male; D008477:Mediastinal Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008875:Middle Aged; D055752:Small Cell Lung Carcinoma / Q000473:pathology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents
keywords: Complication; Endobronchial ultrasonography; Lung cancer; Mediastinal infection